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General NPI Number Information
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NPI Number | 1407761547
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Entity Type | Organization
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Legal Business Name | BANNER THUNDERBIRD MEDICAL CENTER
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2940 E BANNER GATEWAY DR STE 100
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City | GILBERT
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State | AZ
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Zip | 85234-2179
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Country | US
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Telephone | 480-256-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DALE JOHNS
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Credential |
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Telephone | 602-747-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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